go back

Idaho rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $61.66 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $109.65 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $30.20 / $95.50
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $199.53
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $46.77 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $36.31 / $52.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $346.74
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $177.83 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $61.66 / $61.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $154.88 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $43.65 / $58.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $32.36 / $34.67
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $47.86 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $213.80
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $23.99 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $128.82 / $371.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $25.70 / $44.67